Interstitial fluid formation and edema by dr. mudassar ali roomi
Water and Electrolyte Balance. Water 60% - 90% of BW in most life forms 2/3 intracellular fluid 1/3...
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Transcript of Water and Electrolyte Balance. Water 60% - 90% of BW in most life forms 2/3 intracellular fluid 1/3...
![Page 1: Water and Electrolyte Balance. Water 60% - 90% of BW in most life forms 2/3 intracellular fluid 1/3 extracellular fluid –plasma –lymph –interstitial fluid.](https://reader034.fdocuments.us/reader034/viewer/2022051401/56649c7f5503460f949365cc/html5/thumbnails/1.jpg)
Water and Electrolyte Balance
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Water
• 60% - 90% of BW in most life forms• 2/3 intracellular fluid• 1/3 extracellular fluid
– plasma– lymph– interstitial fluid– gut
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Dehydration
• Occurs when fluid loss exceeds intake– sweating vs time
• Fluid lost mostly from ECF– decreased circulating blood volume
inadequate tissue perfusion, inefficient transport of substrates to muscle, and elevated HR
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Dehydration• Clinical Signs
– persistent elevation of HR and RR
– weak pulse
– poor capillary refill
– muscular weakness, tremors
– depression
– weak pulse, staggering
– muscle cramps
• Treatment– IV or oral fluids
and electrolytes
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Estimates of Fluid Loss
• Weigh animal before and after exercise– 1 kg = 1 L– loss of 3% of BW = reduce
performance– loss of 10% of BW = serious,
possibly life threatening
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Estimates of Fluid Loss
• Blood analysis– PCV and total plasma proteins
• rise indicates dehydration
– if PCV > 50% indicates hazardous fluid loss
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Detecting Dehydration• Skin pinch test
– falls back instantly - normal
– 2 - 4 sec - moderate – 4 -6 sec - severe
• Capillary refill– press finger on gums
above an upper tooth• if it takes longer than 2
seconds for blood to return - dehydration
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Electrolytes
• Salt that dissociates in solution into electrically charged particles (ions)– cations - positive charge– anions - negative charge
• Function in fluid balance, transmission of nerve impulses, and muscular activity
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Electrolytes
• Na, K, Cl– ICF predominate cation is K– ECF predominate cation is Na– determines water distribution
between compartments
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Electrolyte Replacement
• Sweat is hypertonic– 100 mEq Na:30 mEq K: 130 mEq
Cl– small amounts of Ca, Mg, and Zn
also lost– Electrolyte loss is easily replaced
by dietary means if sweat is sparse or infrequent
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Electrolyte Replacement
• Electrolyte supplementation recommended if sweating is frequent– also in hot and humid weather
• Dietary electrolytes should replace ions lost in sweat in correct proportions– water or feed
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Dietary Considerations
• Type of hay– legume vs grass
• DCAD - dietary cation anion balance– strong and weak cations vs
anions
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Strong Ions
• Cations– Na+
– K+
– Ca2+
– Mg2+
• Anions– Cl-
– SO42-
– lactic acid
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Na/K ATPase Pump
Lehninger, 1993
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Stewart (1981)• Concept of electrolytes as critical
factors in acid/base balance• Strong ion difference (SID)
– sum of all strong cations minus sum of all strong anions (NA, K, CL, SO4
2-)
– anions greater = negative SID = H+ > OH-
– cations greater = positive SID = OH- > H+
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Stewart (1981)
• Balance of SID is maintained by the dissociation and reassociation of water
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H+ = Dependent Variable
• Three independent variables determine the value of H+:– SID
– Pco2
• H increases as Pco2 increases
– CO2 acts as an acid
– Total concentration of weak acids (plasma proteins)
• H increases as weak acids increase
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Regulation of pH
• Long Term– Kidney
• regulates electrolytes
– primarily Na
– GI tract• absorption of
cations and anions
– dependent of needs
• Rapid– Lung
• releases CO2 (HCO3-)
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Altering Acid Base Balance
• DCAD diets
• Sodium bicarbonate administration– IV vs GI– effect of other sodium forms
• Furosemide